Applicant has read this release and indemnity of all claims and understands all its terms. Please complete the following forms included in this Hospital Indemnity Benefits Claim Packet.A settling party seeking contribution should extinguish the claims of the party it seeks contribution from in the release it secures. Nevada courts will enforce any type of indemnification provision, so long as it is specifically drafted in a manner to convey plainly the intent of the parties. How do I file a claim? Download, edit, autofill multiple forms at once in MS Word using our Forms Workflow Ribbon. The Nevada Supreme Court held that an insured may recover consequential damages from an insurer that breaches its duty to defend. For direct claims to be covered, the intent to do so must be clearly and unequivocally expressed in the indemnification agreement. This form enables us to calculate the correct compensation that may be owed to an injured employee. 2. Every claim filed with the clerk must contain the mailing address of the claimant.